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1275877714
COLLEEN NICOLE WISMER
LAS CRUCES, NM
NPI
1275877714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 2901)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Miss COLLEEN NICOLE WISMER MSPT
2230 CIMARRON DR
LAS CRUCES, NM 88011-8055
Phone number: 575-640-2740
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Mailing Address
Miss COLLEEN NICOLE WISMER MSPT
2230 CIMARRON DR
LAS CRUCES, NM 88011-8055
Phone number: 575-640-2740
Copy
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